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Managed Care Information for Medicaid and CHIP Beneficiaries by Month

Metadata Updated: February 3, 2025

This data set includes monthly enrollment counts of Medicaid and CHIP beneficiaries by managed care participation (comprehensive managed care, primary care case management, MLTSS, including PACE, behavioral health organizations, nonmedical prepaid health plans, medical-only prepaid health plans, and other).

These metrics are based on data in the T-MSIS Analytic Files (TAF). Some states have serious data quality issues for one or more months, making the data unusable for calculating these measures. To assess data quality, analysts adapted measures featured in the DQ Atlas. Data for a state and month are considered unusable or of high concern based on DQ Atlas thresholds for the topics Enrollment in CMC, Enrollment in PCCM Programs, and Enrollment in BHO Plans. Please refer to the DQ Atlas at http://medicaid.gov/dq-atlas for more information about data quality assessment methods.

Some cells have a value of “DS”. This indicates that data were suppressed for confidentiality reasons because the group included fewer than 11 beneficiaries.

Access & Use Information

Public: This dataset is intended for public access and use. License: us-pd

Downloads & Resources

Dates

Metadata Created Date March 29, 2023
Metadata Updated Date February 3, 2025
Data Update Frequency R/P10Y

Metadata Source

Harvested from Healthdata.gov

Additional Metadata

Resource Type Dataset
Metadata Created Date March 29, 2023
Metadata Updated Date February 3, 2025
Publisher Centers for Medicare & Medicaid Services
Maintainer
Identifier 89baf100-259b-4763-b9e2-337972f988c4
Data First Published 2023-03-28
Data Last Modified 2024-01-05
Category Enrollment
Public Access Level public
Data Update Frequency R/P10Y
Bureau Code 009:00
Metadata Context https://project-open-data.cio.gov/v1.1/schema/catalog.jsonld
Metadata Catalog ID https://healthdata.gov/data.json
Schema Version https://project-open-data.cio.gov/v1.1/schema
Catalog Describedby https://project-open-data.cio.gov/v1.1/schema/catalog.json
Harvest Object Id 39b361b1-4864-4d9f-bdbf-99ca6a058769
Harvest Source Id 651e43b2-321c-4e4c-b86a-835cfc342cb0
Harvest Source Title Healthdata.gov
Homepage URL https://healthdata.gov/d/aq28-bxdq
License http://www.usa.gov/publicdomain/label/1.0/
Program Code 009:000
Source Datajson Identifier True
Source Hash 5c7e7d0ced3d4beac5a09624ac4dccd1f0bbb2b88faf76d526c854832e3f10e5
Source Schema Version 1.1

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